INDEPENDENCE HOLDING COMPANY CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) (USD $) In Thousands, unless otherwise specified	6 Months Ended
	Jun. 30, 2013	Jun. 30, 2012
CASH FLOWS PROVIDED BY (USED BY) OPERATING ACTIVITIES:
Net income (loss)	$ 9,198	$ 8,160
Adjustments to reconcile net income to net change in cash from operating activities:
Amortization of deferred acquisition costs	12,388	3,225
Net realized investment gains	(16,354)	(2,987)
Net impairment losses recognized in earnings		704
Equity income from equity method investments	(1,160)	(556)
Depreciation and amortization	2,342	1,973
Share-based compensation expense	508	633
Deferred tax expense (benefits)	6,025	1,945
Other adjustments to reconcile net income	2,623	3,514
Changes in assets and liabilities:
Net sales (purchases) of trading securities	(428)	(712)
Change in insurance liabilities	47,468	1,636
(Additions) reductions to deferred acquisition costs, net	(3,082)	(3,362)
Change in amount due from reinsurers	(216,968)	(149,570)
Change in premium and claim funds	4,072	1,887
Change in current income tax liability	(782)	2,544
Change in due and unpaid premiums	(23,716)	(3,431)
Change in other assets	1,188	553
Change in other liabilities	(3,284)	(5,838)
Net change in cash from operating activities	(179,962)	(139,682)
CASH FLOWS PROVIDED BY (USED BY) INVESTING ACTIVITIES:
Change in net amount due from and to securities brokers	13,418	5,315
Net sales of securities under resale and repurchase agreements	23,368	(4,379)
Sales of equity securities	10,029	4,928
Purchases of equity securities		(2,963)
Sales of fixed maturities	460,981	336,049
Maturities and other repayments of fixed maturities	32,970	35,893
Purchases of fixed maturities	(368,514)	(239,053)
Change in other investments		3,535
Cash paid in acquisitions of companies, net of cash acquired		(243)
Other investing activites	9,751	(3,389)
Net change in cash from investing activities	182,003	135,693
CASH FLOWS PROVIDED BY (USED BY) FINANCING ACTIVITIES:
Payments for repurchases of common stock	(2,898)	(1,013)
Cash paid in acquisitions of noncontrolling interests	(1,199)	(58)
Proceeds (withdrawals) of investment-type insurance contracts	(1,570)	1,338
Dividends paid	(624)	(1,051)
Other financing activities	(718)	(53)
Net change in cash from financing activities	(7,009)	(837)
Net change in cash and cash equivalents	(4,968)	(4,826)
Cash and cash equivalents, beginning of period	23,945	18,227
Cash and cash equivalents, end of period	$ 18,977	$ 13,401